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CT能使颅内并发症易于识别因而有助于细菌性脑膜炎的处理。然而,CT对结核性脑膜炎(TBM)诊断和随访较全面的报告则较少。本文报告14例TBM及2例脑结核瘤的CT改变。作者对16例已证实的颅内结核患者作了CT检查。其中14例诊断为TBM,2例脑结核瘤术后病理检查确诊,两例均无脑膜受累证据。除1例拟诊为病毒性脑膜炎患者入院后第6天死亡外,余均在10天内予以抗结核药物治疗。该例尸检证实为肺结核并有TBM。12例在入院时作CT检查,其中6例有轻至重度的脑内积水其程度与临床症状无明显关系,3例有严重的脑积水且发展迅速,2例死于入院后两周,1例昏迷后经脑室引流和长期抗结核治疗后治愈。3例CT显示不规则局部病灶,其中1例注射对比剂后病灶有增强。所有病例几个月后复查病灶均消失,仅2例TBM病例注射对比剂后基
CT can be easily identified intracranial complications and thus contribute to the treatment of bacterial meningitis. However, there are fewer reports of CT diagnosis and follow-up of tuberculous meningitis (TBM). This article reports CT changes in 14 cases of TBM and 2 cases of brain tuberculoma. The author of 16 cases of confirmed intracranial tuberculosis patients underwent CT examination. Among them, 14 cases were diagnosed as TBM, and 2 cases of brain tuberculoma were confirmed by pathological examination. There was no evidence of meningeal involvement in both cases. Except one case of patients diagnosed as viral meningitis who died on the 6th day after admission, the remaining patients were treated with anti-TB drugs within 10 days. The case of autopsy confirmed tuberculosis and TBM. Twelve patients underwent CT examination on admission. Among them, 6 patients had mild to severe hydrocephalus and had no significant relationship with clinical symptoms. Three patients had severe hydrocephalus and developed rapidly. Two patients died of two weeks after admission , A case of coma after intraventricular drainage and long-term anti-TB treatment after cure. 3 cases of CT showed irregular local lesions, including 1 case of contrast agent injection enhanced. All cases disappeared after a few months review lesions, only 2 cases of TBM injection of contrast agent after the base